| NPI | 1740994268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 55464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA N361446320) |
| 163W00000X Registered Nurse (Licence: ID 55464) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-10-08 |